Acoustic Shock Wave Therapy Enhances Laser Tattoo Removal Outcomes
A split-tattoo study of a 28‐year‐old female with Fitzpatrick Skin Type V and a six‐year‐old professional black tattoo on the left ventral wrist revealed that acoustic shock wave therapy is an effective adjunct to picosecond lasers and a perfluorodecalin patch.
The subject underwent three treatment sessions at six to eight week intervals with a 1,064nm picosecond Nd:YAG laser and a PFD patch. At each treatment session, she received two passes with the laser (4mm spot size, 2.8 to 3.2 J/cm 2 and laser repetition rate of 2 Hz). Between laser passes and following the final laser pass, the medial portion of the tattoo was treated with acoustic shock wave therapy using the Zwave device with settings of 90 mJ, 22 Hz, and 1,200 pulses.
After three treatment sessions, there was 80 percent clearance of the medial portion of the tattoo that received the ASWT compared with 60 percent clearance of the lateral portion treated with picosecond...
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